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Related to Epiploic appendages: epiploic appendix, appendix epiploica
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A hyperattenuating ring sign that represents the inflamed visceral peritoneal covering of the epiploic appendage and central dot sign that corresponds to engorged or thrombosed central vessels or central areas of hemorrhage or fibrosis are the two major CT features of EA (1).
The epiploic appendages vary in shape and size but usually measure about 3 cm long, each.
Epiploic appendage ligation and resection is rare and usually reserved for when conservative management fails or there is new or worsening symptoms such as fever, progressive pain, or refractory nausea and vomiting.